Family-Based Versus Adolescent Residential Drug Treatment
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 113
- 试验地点
- 4
- 主要终点
- Change in Personal Involvement with Chemicals
研究概览
简要总结
The fundamental objective of this study is to compare the effectiveness of an intensive in-home family-based treatment, Multidimensional Family Therapy, with a multifaceted residential treatment, Adolescent Residential Treatment, over 4 years post-intake and to delineate the mechanisms of change for each treatment. The study targets dually- diagnosed adolescent drug abusers recommended for residential treatment.
详细描述
Aim 1: To compare the effectiveness of residential treatment with outpatient, family-based treatment multiple outcomes including substance use, mental health, school functioning, family function and delinquency among dually diagnosed adolescents.
Hypothesis 1. From intake to 2 months, residential treatment will show better outcomes than the family based treatment. Between 2 months and 18 months, family based treatment will show better outcomes than residential. Between 18 months and four years post intake, outpatient family based treatment will maintain its treatment gains, while the residential treatment condition will show an increase in these same symptoms and behaviors.
Aim 2: To examine the relationship between predictors (family, peer, educational/vocational functioning and involvement in post-treatment services), and outcomes (drug use, co-morbid symptoms, and criminal behavior) during the four-year post intake period.
Hypothesis 2a. Family functioning, educational/vocational functioning, and peer relationships measured at discharge will predict drug use, co-morbid symptoms, and criminal behaviors though the four year longer term follow up period.
Hypothesis 2b. Family functioning, educational/vocational functioning, peer relationships, and involvement in post-treatment services during the post treatment period will predict drug use, co-morbid symptoms, and criminal behavior through the longer term follow up period.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 13 Years 至 17 Years（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Youth between the ages of 13 and 17
- •Referred to ATP for residential substance abuse treatment in youth dual diagnosis program
- •Dually diagnosed for substance abuse or dependence and at least one of the following co-morbid conditions: major depressive disorder, bipolar disorder, I conduct disorder, oppositional defiant disorder,
- •At least one parent or parent-figure can be located at the time of referral.
- •Obtain informed consent from a parent or formal guardian and assent from youth to participate in the study.
排除标准
- •Have any of the following disorders: Mental Retardation, Eating Disorders, Schizophrenia, or Pervasive Developmental Disorders.
- •Current suicidality.
结局指标
主要结局
Change in Personal Involvement with Chemicals
时间窗: Baseline, 2, 4, 12, 18, 24, 36 and 48 months after baseline
Scale from the Personal Experience Inventory (PEI) developed by Ken Winter.
Change in substance use consumption
时间窗: Baseline, 2, 4, 12,18,24,36,48 months after intake
Measure of substance use consumption as measured by the Timeline Follow-back Method.
Change in externalizing symptoms
时间窗: Baseline, 2, 4, 12, 18, 24, 36 and 48 months
Externalizing symptoms measured by the Youth Self Report
Change in delinquency
时间窗: Intake, 2, 4, 12, 18, 24, 35, 48 months after intake
Measured by youth report on the Self Report Delinquency Scale.
Change in internalzing symptoms
时间窗: Intake, 2, 4, 12, 18, 24, 36, 48 months after baseline
Measured by the Youth Self Report (YSR)
次要结局
- Change in family conflict(Baseline, 2, 4, 12, 18, 24, 36, 48 months after baseline)
- Change in parenting practices(Baseline, 2, 4, 12, 18, 24,36, 48 months after baseline)
- Change in family cohesion(Intake, 2, 4, 12, 18, 24, 26, 48 months after intake)
研究者
Howard Liddle
Professor
University of Miami